<%@ page language="java" import="java.util.*" pageEncoding="UTF-8"%>
<%
String path = request.getContextPath();
String basePath = request.getScheme()+"://"+request.getServerName()+":"+request.getServerPort()+path+"/";
%>
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<!-- saved from url=(0061)https://yx.ibikang.com/views/zhensuo/fujiafeiyong/fujiafy.jsp -->
<html><head><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"><!--<base href="https://yx.ibikang.com:443/">--><base href=".">
<link href="../static/css/yuangongxx.css" rel="stylesheet" type="text/css">	
<link href="../static/css/yizhumoban.css" rel="stylesheet" type="text/css">
</head><body><div class="container-fluid" style="padding-bottom:100px;">
	<form method="post" id="formSave" onsubmit="return false;">
	<div class="row-fluid clearfix" style="background:#fff;border:solid 1px #efefef; width:100%;margin:30px auto;">
    	<p style="padding:0 0 0 30px;margin:0;line-height:30px;background:#efefef;">代煎/外配费用</p>
       	<div class="row row-margin row-content" id="yp-tabel" style="margin:0;">
			<div class="form-group" style="margin:0;">
				<div class="clearfix" style="margin:30px auto 15px auto;width:620px;">
					<div class="row" style="float:left;margin:0;">
						<div class="btn-check" style="">
							代煎费：
							<input type="text" class="input" data-target="#msg_holder" id="daijianfei" style="margin-left:8px;width: 150px;">
							元
						</div>
					</div>
					<div class="row" style="float:left;margin:0;">
						<div class="btn-check" style="">
							外配费：
							<input type="text" class="input " data-target="#msg_holder" id="waipeifei" style="margin-left:8px;width: 150px;">
							元
						</div>
					</div>
				</div>
				<div class="row" style="margin:0 auto 30px auto;width:620px;">
					<div class="btn-check" style="margin:0;">
						物流费：
					</div>
					<div class="btn-check" style="margin:0 38px 0 8px;">
						到诊所
						<input type="text" class="input " data-rule="金额:range[0~];length(~11)" data-target="#msg_holder" id="zhensuowlf">
						元
					</div>
					<div class="btn-check">
						到个人
						<input type="text" class="input " data-rule="金额:range[0~];length(~11)" data-target="#msg_holder" id="gerenwlf">
						元
					</div>
				</div>
	       	</div>
       </div>
   </div>
	<div class="row-fluid clearfix" style="background:#fff;border:solid 1px #efefef; width:100%;margin:30px auto;">
    	<p style="padding:0 0 0 30px;margin:0;line-height:30px;background:#efefef;">挂号费用</p>
       	<div class="row row-margin row-content" id="yp-tabel" style="margin:0;">
			<div class="form-group" style="margin:0;">
				<div class="row" style="width:675px;margin: 30px auto 15px auto;">
					<div class="btn-check" style="">
						普通挂号费：
						<input type="text" class="input" data-target="#msg_holder" id="putongghf" style="margin-left:8px;width: 150px;">
						元
					</div>
				</div>
				<div class="row" style="width:675px;margin: 0px auto 30px auto;">
					<div class="btn-check" style="">
						专家挂号费：
						<input type="text" class="input" data-target="#msg_holder" id="zhuanjiaghf" style="margin-left:8px;width: 150px;" autocomplete="off">
						元
					</div>
				</div>
	       	</div>
       </div>
   </div>
	<div class="row-fluid clearfix">
		<div class="text-center">
		    <button class="btn b-save button" id="btnSubmit">保存</button>
		    <div class="btn b-cancel button button1" id="qianyuezs-xq"><span class="glyphicon" style="font-family:&#39;Microsoft Yahei&#39;;">取消</span></div>
		</div>
	</div>
	</form>
</div> 
	 <link rel="stylesheet" type="text/css" href="../static/css/fujiafy.css" media="screen">	
	 <script src="../static/js/fujiafy.js"></script>
	 <script>
	 	fujiafy.init();
	 </script>
</body></html>